机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China神经内科首都医科大学宣武医院[2]Department of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China神经外科首都医科大学宣武医院[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[4]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China中美神经科学研究所首都医科大学宣武医院[5]National Clinical Research Center for Geriatric Disorders, Beijing, China
Despite decades of formidable exploration, multi-organ ischemia-reperfusion injury (IRI) encountered, particularly amongst elderly patients with clinical scenarios, such as age-related arteriosclerotic vascular disease, heart surgery and organ transplantation, is still an unsettled conundrum that besets clinicians. Remote ischemic conditioning (RIC), delivered via transient, repetitive noninvasive IR interventions to distant organs or tissues, is regarded as an innovative approach against IRI. Based on the available evidence, RIC holds the potential of affording protection to multiple organs or tissues, which include not only the heart and brain, but also others that are likely susceptible to IRI, such as the kidney, lung, liver and skin. Neuronal and humoral signaling pathways appear to play requisite roles in the mechanisms of RIC-related beneficial effects, and these pathways also display inseparable interactions with each other. So far, several hurdles lying ahead of clinical translation that remain to be settled, such as establishment of biomarkers, modification of RIC regimen, and deep understanding of underlying minutiae through which RIC exerts its powerful function. As this approach has garnered an increasing interest, herein, we aim to encapsulate an overview of the basic concept and postulated protective mechanisms of RIC, highlight the main findings from proof-of-concept clinical studies in various clinical scenarios, and also to discuss potential obstacles that remain to be conquered. More well designed and comprehensive experimental work or clinical trials are warranted in future research to confirm whether RIC could be utilized as a non-invasive, inexpensive and efficient adjunct therapeutic intervention method for multi-organ protection.
基金:
National Key RD Program [2017YFC1308401];
National Natural Science Foundation [81371289];
Project of Beijing Municipal Top Talent of Healthy Work of China [2014-2-015]
第一作者机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China
共同第一作者:
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China[3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China[4]Department of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China[5]National Clinical Research Center for Geriatric Disorders, Beijing, China
推荐引用方式(GB/T 7714):
Da Zhou,Jiayue Ding,Jingyuan Ya,et al.Remote ischemic conditioning: a promising therapeutic intervention for multi-organ protection[J].AGING-US.2018,10(8):1825-1855.doi:10.18632/aging.101527.
APA:
Da Zhou,Jiayue Ding,Jingyuan Ya,Liqun Pan,Yuan Wang...&Ran Meng.(2018).Remote ischemic conditioning: a promising therapeutic intervention for multi-organ protection.AGING-US,10,(8)
MLA:
Da Zhou,et al."Remote ischemic conditioning: a promising therapeutic intervention for multi-organ protection".AGING-US 10..8(2018):1825-1855